Test Bank For Leadership Roles and Management
Functions in Nursing 10th Edition By Bessie L.
Marquis; Carol Huston 9781975139216 Chapter 1-25
Complete Guide .
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, Chapter 01: Decision Making, Problem Solving, Critical Thinking, and Clinical
Reasoning: Requisites for Successful Leadership and Management
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1. The nurse is applying a decision-making process to a clinical challenge. When applying this
process, the nurse must:
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a. analyze the root causes of a situation.
b. begin by solving the underlying problem.
c. choose between different courses of action.
d. prioritize the maximum good for the maximum number of people.
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ANS: C
Feedback: Decision making is a complex, cognitive process often defined as choosing a
particular course of action. Problem solving is part of decision making and is a systematic
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process that focuses on analyzing a difficult situation. It is not always realistic for the nurse
to solve each of the problems contributing to a larger challenge, especially at the beginning
of the decision-making process. The nurse often lacks the time, information, or resources to
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analyze the root causes of a situation. Many times, the nurse makes a decision that benefits
the largest number of people, but this is not always feasible or desirable.
PTS: 1 DIF: Moderate REF: Page: 3
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NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Decision Making, Problem Solving, Critical Thinking,
and Clinical Reasoning KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Apply NOT: Multiple Choice
2. The nurse is applying the traditional problem-solving model when mediating in a conflict
between two colleagues. When applying this model, the abirb.com/test
nurse should prioritize what task?
a. Identifying the root cause of the conflict
b. Implementing a solution as quickly as possible
c. Eliciting input from other nurses
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d. Encouraging each nurse to reflect on his or her actions
ANS: A
Feedback: The traditional problem-solving model attempts to identify the root problem in
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situations, a task that can require much time and energy. Efficiency is desirable, but trying
to implement a solution as quickly as possible can result in a hasty and incorrect solution.
Reflective thinking is always beneficial, but this is not a specific component of the
traditional problem-solving model. Outside input may orabirb.com/test
may not be necessary; this varies
with each individual problem.
PTS: 1 DIF: Moderate REF: Page: 7
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OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Traditional Problem-Solving Process
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Analyze abirb.com/test
NOT: Multiple Choice
3. Which statement is true regarding decision making?
a. Scientific methods provide identical decisions by different individuals for the same
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problems.
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, b. Decisions are greatly influenced by each person’s value system.
c. Personal beliefs can be adjusted for when the scientific approach to problem
solving is used. abirb.com/test
d. Past experience has little to do with the quality of the decision.
ANS: B
Feedback: Values, life experience, individual preference,abirb.com/test
and individual ways of thinking
will influence a person’s decision making. No matter how objective the criteria will be,
value judgments will always play a part in a person’s decision making, either consciously or
subconsciously. It is not possible for a nurse to fully “setabirb.com/test
aside” personal beliefs when
making a decision, even if the nurse applies the principles of self-reflection.
PTS: 1 DIF: Moderate REF: Page: 17 OBJ: 3
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
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TOP: Chapter Number: 01: Title: Values KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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4. The nurse-manager of a short-staffed unit needs to make a decision about a nurse’s request
for an unpaid leave of absence. In order to increase the chance of making a good decision,
the manager should:
a. involve as many people in the decision-making process abirb.com/test
as possible.
b. begin the decision-making process by presuming the status quo to be the best
option.
c. generate as many different alternatives as possible. abirb.com/test
d. prioritize the option that is most innovative.
ANS: C
Feedback: The greater the number of alternatives that can be generated by the decision
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maker, the better the final decision will be. Generating multiple alternatives may require
involving more people in the decision-making process, but the process can easily become
unwieldy if too many people are involved. The manager should always consider the status
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quo as a possible option, but this is not always considered to be the default option.
Innovation is often a desirable characteristic, but it would be inappropriate to choose an
option solely because it is innovative; many other values must be considered.
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PTS: 1 DIF: Moderate REF: Page: 15 OBJ: 4
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Generate Numerous Alternatives
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KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. An experienced nurse-manager has been described as being a “right-brain thinker.” This
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manager’s decision-making process likely prioritizes what characteristic?
a. Linear analysis
b. Intuition
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c. Transparency
d. Efficiency
ANS: B
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, Feedback: Right-brained thinkers have traditionally been characterized as being creative and
intuitive. Linear analysis is more closely aligned with left-brained thinking. Transparency
and efficiency are desirable qualities that are not particularly aligned with either of these
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two paradigms.
PTS: 1 DIF: Easy REF: Page: 18 OBJ: 3 | 4
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NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Brain Hemisphere Dominance and Thinking Styles
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Understand NOT: Multiple Choice
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6. The nurse-manager is applying an evidence-based approach to a clinical question around
client mobilization. When using a PICO format to searchabirb.com/test
for evidence, the nurse should
identify what?
a. The role of intuition in the decision-making process
b. The preferences of clients and their families
c. The clients for whom the intervention would be relevant
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d. Costs associated with a potential change in practice
ANS: C
Feedback: The PICO (patient or population, intervention, abirb.com/test
comparison, and outcome) format
is used in evidence-based practice to guide the search for the current best evidence to
address a problem. Client and family preferences and cost are included in evidence-based
practice but are not explicit components of the PICO format. Intuition is a component of
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decision making but is not specifically included in the PICO format.
PTS: 1 DIF: Moderate REF: Page: 14 OBJ: 5 | 6
NAT: abirb.com/test
Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Use an Evidence-Based Approach
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
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7. The nurse-manager is applying the decision-making process when addressing a nurse’s high
rate of absenteeism. This process should result in:
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a. an outcome that is desired by all.
b. a chosen course of action.
c. an action that guarantees success.
d. a new understanding of the problem. abirb.com/test
ANS: B
Feedback: A decision is made when a course of action has been chosen. A decision may not
always be pleasing to everyone involved in the situation,abirb.com/test
and success can never be fully
guaranteed. The manager should seek to fully understand the problem, but this is a phase in
decision making, not the result of the process.
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PTS: 1 DIF: Easy REF: Page: 3 OBJ: 1
NAT: Client Needs: Safe and Effective Care Environment: Management of Care
TOP: Chapter Number: 01: Title: Decision Making, Problem Solving, Critical Thinking,
and Clinical Reasoning KEY: Integrated Process: Nursing Process
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BLM: Cognitive Level: Understand NOT: Multiple Choice
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